CMS Price Transparency Data

Neurobehavioral status check

Facility: Mercyone Waterloo Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$65
about 0.3× the $221 Medicare rate · typically $65–$154
modeled estimate · not a bill or quote
What this hospital charges insurers
$69
About the fair price
about $4 over the fair price · 0.3× Medicare
Medicare pays $221 Fair price $65 This hospital $69 Cash price $253 Hospital's list price $253

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

One of the lower prices — 7 of 8 other IA hospitals charge more for the same procedure.

Cheapest $54 Priciest $128

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Neurobehavioral status check is about $65 (about 0.3× the $221 Medicare rate). Mercyone Waterloo Medical Center charges insurers about $69, or about $253 in cash — about the fair price. Located in Waterloo, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $56 - $237 25%
Blue Cross Blue Shieldmajor $56 - $151 25%
Aetnamajor $51 - $253 23%
Cignamajor $56 - $209 25%
Humanamajor $56 - $112 25%
Kaiser Permanentemajor $128 - $151 58%
Ambetter (Centene) $56 - $119 25%
Clover Health $69 31%
GEHA $226 102%
Health Net $56 - $253 25%
HealthPartners $56 - $175 25%
Meridian $56 - $87 25%
Molina $56 - $87 25%
Oscar Health $137 62%
Paramount $56 - $87 25%
Presbyterian $56 - $87 25%
Sanford Health Plan $115 52%
Tufts Health Plan $56 - $87 25%
UCare $124 56%
WellMed $69 31%
WellSense $56 - $87 25%
+ 355 smaller / regional plans $56 - $266
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 3421 West Ninth Street, Waterloo, IA 50702
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals